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. �r <br /> PGRMIT FEE CALCULAT[01�1(S) <br /> 2002 State Statute Yes This Section Applies <br /> The replacement of a Residential fi�cture or appliance that meets all three of the following <br /> rec�ui rements: <br /> ]) Does not require modification to electrical or gas service. <br /> 2) Has a total cost of$500.00 or less;excludin�the cost of the fixture or appliance: <br /> and <br /> 3) Is improved, instal(ed or replaced by the homeowner or(icensed contractor. <br /> Skip next section; Cost of Permit $ 15.00 <br /> State Surcharge $ 50 <br /> Mail-In Fee $ 1.50 <br /> If above does not apply,foliow�uidelines below: <br /> 1. Contract Price* is .0125%of job with a Minimum Fee of($35.00) <br /> `7 Z-{-:�' C' L' x.0125 $ `-' � � ~� <br /> (contract price) (minimum�35.00) <br /> 2. State Surchar�e. *" Add the State Building Code Division a Minimum Fee of($.50) <br /> . , <br /> ���L�i:.�:� (�'c_% x .0005 $ � / C: <br /> (contract price) (minimum�.50) <br /> 3. PostaSe and Handlin�(Only mail-in upplication.r) $ 1.50 <br /> 4. TOTAL PERMIT FEE(Add lines 1-3 above) $ ��l ' � �� <br /> *CONTRACT PRICE or JOB COST means the actual or estimated dollar amount cl�arged for Uie pemiitted work <br /> including materials,labor,pmfit,and other fixed costs.It is the amouni to be charged to the customer for the work <br /> done.If any material,equipment,]abor,or installation is furnisl�ed by the owner,tenant or any otl�er party Ute <br /> reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes.In <br /> Uie event that there is a dispute on the amount oCUie job cost,Uie City may request tl�e submission of a signed cop}�of <br /> the actual conhacl. <br /> **The STATE SURCHARGE is.0005 of the contract price under$1,000,000 or$.50-whichever is greater.For <br /> valuations over S 1,000,0(Hl call the Department of Inspectional Services for t!►e price. <br /> Tl�e undersigned l�ereb}�applies to die City for issuancc of a Meclianical Pentut,agrees to do all work in strict <br /> accordance with ihe ordinances of the City a�the regulaiions of the Minnesota State Building Code,and certifies tha[ <br /> all statements made on dris application are complete,true and correct. <br /> �a�{�.,`:,� ,, l � ,-, <br /> App(icant's Signature: ��I" ""- ts��- �`l'^�,�'k`�C���/Z,Q:L Date: /� —�,�` _/; ) <br /> Approved By: Date: <br /> Reset Form <br />